Oct. 4 & 7 – Changes & Challenges – Our Lady of Lourdes – Raleigh, NC

Family Honor provides and promotes a family-centered Catholic approach to chastity education. Our programs are fun and informative, but most importantly, they are designed to help enhance parent-child “connectedness” and communication. Thus you, the parent(s) or adult guardian(s) are required to attend this program with your child if you register your child for the program.

This form should be completed by the parent or adult guardian of the child.

Father (or Guardian's) Name

FirstLast

Mother (or Guardian's) Name

FirstLast

Marital Status*

Address*

Street AddressAddress Line 2CityStateZIP Code

Parent Email*

Diocese*

Child's Name*

FirstLast

Age*

Grade*

Sex*

Parish your family attends

School your child attends

Photo release*

Yes

No, I do not give permission to use any photo of our family members in Family Honor materials.

Note: Occasionally, Family Honor will take group photos or individual photos of parents and teens during one of our programs for limited use on our web site, in our newsletter or in our brochures. These photos are never sold or rented to any other individual or organization for their use. By your completion of this registration form, you are giving us permission to use any photos of your family members that may be taken in a Family Honor program in Family Honor materials and on our Facebook page. If you do not wish to give permission for any photos taken of your family to be used by Family Honor, please indicate in the box above.

Would you like to receive our monthly Email Blasts & Parent Newsletter?*